Job Information
University of Utah PS Patient Financial Advocate in Salt Lake City, Utah
Details
Open Date 08/06/2024
Requisition Number PRN39454B
Job Title PS Patient Financial Advocate
Working Title PS Patient Financial Advocate
Job Grade C
FLSA Code Nonexempt
Patient Sensitive Job Code? Yes
Standard Hours per Week 40
Full Time or Part Time? Full Time
Shift Day
Work Schedule Summary
VP Area U of U Health - Academics
Department 00235 - Infectious Disease
Location Campus
City Salt Lake City, UT
Type of Recruitment External Posting
Pay Rate Range 12.02 to 21.63
Close Date
Open Until Filled Yes
Job Summary
Facilitates the resolution of funding issues for Prep clinic patients. Assists patients in collecting and completing the required documents needed to obtain state, or other third-party, financial assistance. Maintains on-going communication/education with physicians, case managers/case workers, and patients, regarding the status of funding. Works with Medical Director, physicians, and billing offices to determine cost estimates for procedures and coordinates patient access to scheduled procedures.
Responsibilities
Interviews and evaluates patients to determine eligibility for assistance programs and helps complete associated forms.
Explains topics of insurance coverage, treatment costs, prompt pay and/or financial hardship discounts to patients and/or family members during catastrophic or challenging life events which may involve, but are not limited to, death, amputation and disability.
Contacts appropriate agencies to obtain information and paperwork necessary to process patients’ assistance applications. These resources can include state caseworkers, banks, Social Security Administration, employers, medical facilities, workers compensation administrators, insurance companies, and police departments.
Establishes and maintains a positive working relationship with patient to meet their needs, ensure process compliance, and resolve outstanding billing issues between physicians, hospitals and insurance companies.
Follows up with patients who do not qualify for outside assistance to determine financial hardship discount, charity write-offs and/or payment arrangements.
Confirms correct insurance information and coordinates efforts with various teams for correct and timely billing.
Prepare and process monthly payments for related care provided by the Free Prep clinic.
Coordinates Certificates of Medical Necessity, determines and collects payments due prior to procedure, and communicates ineligibility to physicians and patients when necessary.
Determines third-party liability in cases of injury/assault and initiates and amends hospital and attorney liens.
Initiates claim process with third-party payor (i.e.: auto insurance company, worker’s compensation) on behalf of patient when appropriate.
Schedules intake appointments for new patients and updates patient demographics and registration information as needed
Work Environment and Level of Frequency that may be required:
Nearly Continuously: Office environment.
Seldom: Infectious disease, oils ( there is air or skin exposure to oils or other cutting fluids ).
Physical Requirements and Level of Frequency that may be required
Nearly Continuously: Hearing, listening, talking.
Often: Repetitive hand motion (such as typing), walking, standing, sitting.
Seldom: Bending, reaching overhead.
Minimum Qualifications
Four years experience with medical accounts receivable, insurance claims, or equivalency (one year of education can be substituted for two years of related work experience); Familiarity with commercial or government billing requirements, Health Care Financing Administration ( HCFA ) regulations, and customer service practices and; Basic knowledge of accounting principles, word processing, spreadsheets, and demonstrated human relation and effective communication skills.
Comprehension of Medicaid eligibility guidelines and bilingual language (Spanish) skills may be preferred.
This position is patient-sensitive and must fulfill all associated requirements. We protect our patients, coworkers and community by requiring all patient-sensitive employees to be immunized according to CDC standards and hospital policy. Limited exemptions may be made for documented medical contraindications or religious beliefs that object to vaccinations.
Applicants must demonstrate the potential ability to perform the essential functions of the job as outlined in the position description.
Preferences
Type Benefited Staff
Special Instructions Summary
Additional Information
The University is a participating employer with Utah Retirement Systems (“URS”). Eligible new hires with prior URS service, may elect to enroll in URS if they make the election before they become eligible for retirement (usually the first day of work). Contact Human Resources at (801) 581-7447 for information. Individuals who previously retired and are receiving monthly retirement benefits from URS are subject to URS’ post-retirement rules and restrictions. Please contact Utah Retirement Systems at (801) 366-7770 or (800) 695-4877 or University Human Resource Management at (801) 581-7447 if you have questions regarding the post-retirement rules.
This position may require the successful completion of a criminal background check and/or drug screen.
The University of Utah values candidates who have experience working in settings with students and patients from all backgrounds and possess a strong commitment to improving access to higher education and quality healthcare for historically underrepresented students and patients.
All qualified individuals are strongly encouraged to apply. Veterans’ preference is extended to qualified applicants, upon request and consistent with University policy and Utah state law. Upon request, reasonable accommodations in the application process will be provided to individuals with disabilities.
The University of Utah is an Affirmative Action/Equal Opportunity employer and does not discriminate based upon race, ethnicity, color, religion, national origin, age, disability, sex, sexual orientation, gender, gender identity, gender expression, pregnancy, pregnancy-related conditions, genetic information, or protected veteran’s status. The University does not discriminate on the basis of sex in the education program or activity that it operates, as required by Title IX and 34 CFR part 106. The requirement not to discriminate in education programs or activities extends to admission and employment. Inquiries about the application of Title IX and its regulations may be referred to the Title IX Coordinator, to the Department of Education, Office for Civil Rights, or both.
To request a reasonable accommodation for a disability or if you or someone you know has experienced discrimination or sexual misconduct including sexual harassment, you may contact the Director/Title IX Coordinator in the Office of Equal Opportunity and Affirmative Action ( OEO /AA). More information, including the Director/Title IX Coordinator’s office address, electronic mail address, and telephone number can be located at: https://www.utah.edu/nondiscrimination/
Online reports may be submitted at oeo.utah.edu
https://safety.utah.edu/safetyreport This report includes statistics about criminal offenses, hate crimes, arrests and referrals for disciplinary action, and Violence Against Women Act offenses. They also provide information about safety and security-related services offered by the University of Utah. A paper copy can be obtained by request at the Department of Public Safety located at 1658 East 500 South.